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Intake Coordinator
Blue Cross and Blue Shield of Louisiana. Respond to provider requests telephonically and electronically for preauthorization of inpatient admissions and outpatient services and procedures .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in preauthorization processes, including verifying benefits and eligibility, while maintaining compliance with regulatory guidelines. Strong communication and organizational skills are essential for effectively managing provider and member interactions in a call center environment.
Highest-signal resume keywords
Preauthorization ManagementCall Center ExperienceMedical Terminology KnowledgeMicrosoft Word and Excel ProficiencyEffective Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Preauthorization ProcessesBenefits VerificationEligibility VerificationData EntryHealthcare Compliance
Soft Skills
Listening SkillsOrganizational SkillsInterpersonal SkillsMultitasking AbilityIndependent Work
Tools & Technologies
Microsoft WordMicrosoft ExcelFacets
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Health InsuranceUtilization ReviewCare ManagementURAC PoliciesRegulatory Compliance
About the role
Key responsibilities & impact- Respond to provider requests telephonically and electronically for preauthorization of inpatient admissions and outpatient services and procedures
- Verify benefits, eligibility, and provider network status
- Promote and maintain a positive company image through telephonic and electronic contact with internal and external customers
- Meet staff and unit performance targets and departmental productivity goals
- Receive member clinical data, enter relevant case information, and follow departmental processes to authorize services
- Forward cases and clinical data to the appropriate Utilization Review team when approval is not allowed by process
- Manage authorizations to minimize healthcare disruption, standardize decision timeliness, and accommodate provider/member needs
- Manage verbal notifications and written materials in compliance with regulatory and operational guidelines
- Maintain knowledge of lines of business, laws and regulations, data exchange code sets, medical terminology, computer systems, Care Management and URAC policies and procedures
- Complete special assignments and projects requested by management
- Comply with laws and regulations associated with job duties
- Perform other job-related duties within the scope of responsibilities
Requirements
What you’ll need- High School Diploma or GED required
- 1 year call center experience or prior knowledge of health insurance pre-service authorization required
- Excellent listening, reading, comprehension, oral and written communication skills
- Effective organizational and interpersonal skills
- Ability to multitask, work independently, and prioritize multiple customer issues
- Working knowledge of Microsoft Word and Excel
- Working knowledge of medical terminology
- Ability to communicate verbally by telephone in a call center environment approximately 95% of the time
- Ability to sit at a desk and answer calls for prolonged periods with predetermined breaks
- Facets experience preferred
- Must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support
- Must successfully complete background and pre-employment drug screening
Benefits
Comp & perks- Resources to live well and be healthy
- Continued learning and skill development
- Professional growth opportunities
- Opportunity to serve local communities
- Smoke- and tobacco-free workplace
- Background and pre-employment drug screening